JACOB KIRT OLSON M.D.
NPI 1225396237
Student in an Organized Health Care Education/Training Program in Loma Linda, CA
About Jacob Kirt Olson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB KIRT OLSON M.D. (NPI 1225396237) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Kirt Olson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Olson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 523 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 36 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 2,087 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health
Acute Care Hospitals · Indianapolis, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Olson's NPI number?
The NPI number for Jacob Olson is 1225396237. It was assigned to this individual provider in the NPPES registry on April 26, 2012.
Where is Jacob Olson located?
Jacob Olson practices at 11234 Anderson St Gme Office Csp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-4289.
What is Jacob Olson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Olson enrolled in Medicare?
Yes. Jacob Olson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Olson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Olson reassigns Medicare benefits to 3 organizations: Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), Pediatric Surgical Associates Inc (Indianapolis, IN) and Community Physicians Of Indiana Inc (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Olson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jacob Olson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacob Olson affiliated with any hospitals?
According to CMS data, Jacob Olson is affiliated with Indiana University Health.
When was this NPI record last updated?
The NPPES record for Jacob Olson was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Kirt Olson, M.D. · NPI 1225396237
Student in an Organized Health Care Education/Training Program provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 26, 2012.
## Identity
- **NPI:** 1225396237 (Entity type: Individual)
- **Enumerated:** April 26, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, GME OFFICE CSP 21005, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Iu Health Medical Group Riley Specialists, LLC (NPI 1699561480, Indianapolis, IN); Pediatric Surgical Associates Inc (NPI 1790880292, Indianapolis, IN); Community Physicians Of Indiana Inc (NPI 1619105244, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** August 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225396237) · Data from the CMS NPPES public registry.